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11-0199 (MECH)R.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number:1 --00000199 Property Address: 48125 VIA SOLANA APN: 646-380-058- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 868.4 Applicant: Architect or Engineer: BUILDING" & SAFETY DEPARTMENT BUILDING PERMIT Owner: DOBSON 'TERRY 48125 VIA SOLANA LA QUINTA, CA 92253 (760)564-0963 ' LICENSED CONTRACTOR'S DECLARATION Ihereby affirm under penalty ofperjury that I am licensed under provisions of Chapter"9 (commencing with Section 7000) of Division 3 of the Busine an Pr essionals Code as d-my-0cense is in full force and effect. License Class: C20�No.: 489046 Cate:- 2 hi lk Con rt actor: r- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any.city or county that requires a permit to construct, alter, improve, demolish,or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that heor she is exempt therefrom and the basis for"the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with-wages'as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 1„as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed _ pursuant to the Contractors' State License Law.). ' ( 1 I am exempt under Sec. B.&P.C. for,this reason ” Date: Owner: CONSTRUCTION LENDING AGENCY ' hereby affirm under penalty of perjury that there is a construction lendingagency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). - Lender's Name: Lender's Address: " LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 2/24/11 Contractor: r`` 7 f C-7 ESSER AIR CONDITIONING & A-TiR \ f P.O. BOX 1636" CATHEDRAL CITY, CA 922351kj5 (760)324-0550 Lic.. No.: 489046V°� ! �: �, 1 . -----------------------------� =� -- -- WORKER'S COMPENSATION DECLARATiRii- I hereby affirm under penalty of perjury one of the following declarations: ' I, have and will maintain a certificate of consent to self -insure, for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MAINTSTAY BUSNS Policy Number MBS-SIP0051611 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and.agree that, if I should become subject to the workers' compensation provisions of Section 1I3700 of the Labor de, I shallsforthithlcomply with those provisions. `.Date'. 2. 'Z�1�.1.. (`Applicant�J! WARNING:. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT ' .,.IMPORTANT -Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for" whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La.Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2.. Any permit issued as.a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abovePf rma ion is correct. I agree to comply with all city and county ordinances and state laws relating to building�cynstructi n, and ereby authorize representatives of this co ty t enter upon the above-mentioned property fg(inspectio/n/pyc FDate: y .a Signatur (Ae pplicant-or Agent): - Application Number 11-00000199. Permit . . . . . . MECHANICAL Additional desc .. Permit -Fee 51.00 Plan Check Fee 12.75 Issue.Date Valuation .- 0 Expiration.Date .8/23/11 Qty Unit 'Charge 'Per. .. Extension BASE FEE 15:00 2..00 9.0000 EA MECH FURNACE <=100K 18.00 2.00. 9.0000 EA MECH•'B/C <=3HP/100K BTU 18.00. Special Notes and Comments REPLACE (2)A/C HEATING SYSTEM:WITH (2)- ..3 TON 15 SEER SYSTEMS TO"SAME LOCATION. 2007 CODES. •------------------------- Other Fees . . . . . . . BLDG STDS.ADMIN (SB1473). 1.00 - Fee summary Charged Paid, Credited Due -- - - - - ------ - - -- ------ - -- - ---- Permit Fee Total 51..00. .00 .00 -- - - - - -- 51.00 Plan Check Total 12.75 .00 .00 12.75 Other Fee..Total 1.00 .00_ .00 1.00 Grand Total 64.75 .00 .00 64.75 t LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-iR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit !R: 48125 VIA SOLANA La Quinta, CA 92253 City of La Quints Feb 24, 2011 Equipment Typel List Minimum Efficiency2 Dud insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit Fj Furnace • Indoor Coil [, AFUE _ 78% SEER 15.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system d Setback If not area present; • Condensing Unit ❑ EER ❑Resistance ❑ R 8 (CZ 14-I5) 1200 must be installed) C] Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CFIR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection, and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fad the work completed by the installer. The inspector also verifies that each appropriate CF-611 and registered CF-411 forms (no hand filled CF-4Rs allowed) are filled out and signed Beginning October 1, 2010, a registered copy of the CF-111 and CF-6R shall also be on site for final inspection. E� 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or . Indoor Coil and /or CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF-411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leagage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or 0 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC Required Forms: System . Cut in or Changeout with new duds: (all ducts: CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and new ducting AEA all new equipment)) MECH-25-HERS CF-411 forms: MECH 20, and (for split systems) MECH-22, and.MECH 25 , For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit and/or indoor coil CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton, TMAH For Packaged Units: 'Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more CF-611 forms: MECH-04, MECH-2I-HERS than 40 linear feet of duct in CF-411 forms: MECH-21 unconditioned space. For split system or packaged units: Duct leakage < 15 percent C EXCEPTION: Existing dud systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the Califomia Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Tide 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency approval with the permit 9 cY for a application. Name: Kevin Hampton Signature: Kevin Hampton Company: ESSER SERVICES INC Date: Feb 24, 2011 Address: P O BOX 1636 License: 489046 City/State/Zip: CATHEDRAL CITY / CA / 92235 Phone: (760) 324-0550 Reg: 211-A0010627A-00000000-0000 Registration Date/Time: 2011/02/24 18:16:09 HERS Provider: CaICERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit !l: 48125 VIA SOLANA La Quinta, CA 92253 City of La Quinta Feb 24, 2011 Equipment Typel List Minimum Efficiency2 Dud insulation requirement Conditioned Floor Area Thermostat C] Package Unit R Furnace Fj Indoor Coil Li AFUE 78% a SEER 15.0 ❑ COP •Q HSPF 0 R 6 (Cz 10-13) Served by system FA Setback If not already present, 8 Condensing Unit p EER ❑ Resistance O R 8 (CZ 14-15) IL200 sf must be installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies.. 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner.,At final, the inspector verifies that the work listed on this form was in fad the work completed by the installer. The inspector also verifies that each appropriate CF -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. E� 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS , replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH For Packaged.Units: Duct leakage < 15 percent Exempted from duct leagage testing if: 0 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or C] 2. Dud systems with less than 40 linear feet in unconditioned space, or 0.3. Existing duct systems are constructed, insulated or sealed with asbestos O 2. New HVAC RequiredForms: System . Cut in or Changeout with new duds: ducts: (all CF -0R fog: MECH-04, MECH-20-HERS, and (for split systerris) MECH-22=HERS, and new ducting SIIall new equipment)) MECH-25-HERS CF -411 forms: MECH 20, and (for split systems) MECH-22, . and. MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit and/or indoor coil CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or furnace. No or some CF -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton,.TMAH For Packaged Units: Duct leakage < 6 percent 114. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than linear feet dud in CF -60 forms: MECH-04, MECH-2I-HERS unconditioned spacee.. CF -4R fortes: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing dud systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Kevin Hampton Signature: Kevin Hampton Company: ESSER SERVICES INC Date: Feb 24, 2011 Address:. P O BOX 1636 License: 489046 City/State/Zip: CATHEDRAL CITY / CA / 92235 Phone: (760) 324-0550 Reg: 211-A0010626A-00000000-0000 Registration Date/Time: 2011/02/24 18:12:18 HERS Provider: Ca10ERTS,'Inc. 2008 Residential Compliance Forms July 2010 A Bin # City of La Quinta Building 8Z' Safety Division P.O. Box 1504, 78-495 Calle Tampico b Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: Z� 14 Sp i iu,4 Owner's Name: A. P. Number: Address:/ °�� �/ c7� t A Legal Description: zSSt-� VLkUl cl City, ST, Zip: `k- ?J %,V -P- %� .� •,•f:;<»»:«<�>:i;<;<>::: ;: Address: Y. �. p>e�`lj .6 Project Description: City, ST, Zip:. OR Telephone.16 ' . �Z , v S lV :>:: ;.•::•;:•;;:::;;:•;:.;;:::>:::::::::::•;>:•:<.;;;:•: c.� State Lic. # : 4 o City Lic. Arch., Engr., Designer: Address: City., ST, Zip: Telephone::::.:•::•:;::.>:>�.<?sf.:::;::;s::::..:>;:::::t •`<.:>::;::>>:<<:;><; i;:??''r:+/.$�Y>t•`.`:isiiii�ii}:�iiS:r�:C:yy;iii:t?;)}i{< State Lic. #: :szs.<.c,Y;vr<<} Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: G Estimated Value of Project: D APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked,up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appy Date of permit issue School Fees Total Permit Fees